CMS Price Transparency Data

Sleep study (overnight, in lab)

Facility: Mercyone Clinton Medical Center

Billing Code: 95810 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$200
about 0.2× the $877 Medicare rate · typically $155–$560
modeled estimate · not a bill or quote
What this hospital charges insurers
$544
Well above the fair price
about $344 over the fair price · 0.6× Medicare
Medicare pays $877 Fair price $200 This hospital $544 Cash price $1,785 Hospital's list price $1,785

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $211 Priciest $544

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Sleep study (overnight, in lab) is about $200 (about 0.2× the $877 Medicare rate). Mercyone Clinton Medical Center charges insurers about $544, or about $1,785 in cash — well above the fair price. Located in Clinton, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $200. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $112 - $6,538 13%
Blue Cross Blue Shieldmajor $112 - $1,477 13%
Aetnamajor $79 - $5,721 9%
Cignamajor $112 - $5,884 13%
Humanamajor $108 - $991 12%
Kaiser Permanentemajor $232 - $1,255 26%
Ambetter (Centene) $188 - $1,536 21%
Clover Health $112 - $607 13%
GEHA $292 - $2,397 33%
Health Net $188 - $2,543 21%
HealthPartners $188 - $5,734 21%
Medica $5,884 671%
Medical Mutual $5,721 652%
Meridian $112 - $607 13%
Molina $188 - $544 21%
Oscar Health $223 - $1,247 25%
Paramount $188 - $544 21%
Presbyterian $112 - $607 13%
Sanford Health Plan $191 - $1,079 22%
Tufts Health Plan $188 - $544 21%
UCare $206 - $1,199 23%
WellMed $112 - $607 13%
WellSense $188 - $544 21%
+ 363 smaller / regional plans $108 - $6,538
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 1410 North 4Th Street, Clinton, IA 52732
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals